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CMS RVU26D · Effective 2026-10-01

78466 in Redding

Office / nonfacility

$171.17

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Nuclear cardiology

About 78466: Planar myocardial infarct imaging

Planar myocardial infarct imaging depicts uptake of an infarct-avid radiopharmaceutical to evaluate suspected myocardial injury, rather than myocardial perfusion.

This service is planar nuclear imaging that captures uptake of an infarct-avid radiopharmaceutical in the heart. It may be used to evaluate suspected myocardial injury; technetium-labeled pyrophosphate is a familiar example of an infarct-avid tracer. A nuclear medicine technologist performs the acquisition, and a nuclear medicine physician or other qualified physician interprets the images. The study is distinct from imaging designed to measure myocardial perfusion.

Report the code when the documented examination is planar infarct-avid imaging. The record should identify the imaging method and support the clinical question addressed; do not select it for a perfusion study or a tomographic infarct-avid study. Modifier 26 represents the physician’s interpretation, modifier TC represents the equipment and staff, and billing without either modifier represents the global service. When multiple cardiovascular diagnostic procedures are performed, the multiple-procedure reduction applies to the technical component.

CMS billing rules for 78466

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Multiple procedures
Cardiovascular diagnostic multiple procedure reduction applies to the technical component.

Where the value comes from

  • Work RVU0.67 · 14%
  • Practice expense (office) RVU4.02 · 84%
  • Malpractice RVU0.07 · 1%

126

Medicare services in 2024 · #4698 by national volume

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

78466 compared with similar codes

Office rates for Redding, from the same CMS release.

78468

Cardiac infarct imaging

With ejection fraction

$197.24

This code is planar infarct-avid imaging without the additional ejection-fraction assessment described by 78468.

78469

Infarct imaging

Tomographic SPECT

$219.43

Use 78466 for planar imaging and 78469 when the infarct-avid study is performed using SPECT.

78453

Heart perfusion imaging

Single planar study

$283.64

Code 78453 describes planar myocardial perfusion imaging. Code 78466 is for imaging uptake of an infarct-avid radiopharmaceutical.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 78466 is $171.39—$0.22 higher than the $171.17 rate in Redding. Both use the same code, release and participation basis.

78466 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $171.17

  2. Bakersfield

    $171.39

    $0.22 higher than Redding

  3. Chico

    $171.17

    The same base rate than Redding

  4. El Centro

    $171.19

    $0.02 higher than Redding

  5. Fresno

    $171.17

    The same base rate than Redding

  6. Hanford-Corcoran

    $171.17

    The same base rate than Redding

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $183.69

    $12.52 higher than Redding

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 78466 ranges from $138.92 in Arkansas to $219.71 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · 78466

    Office

    $171.17

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Merced

    California · 78466

    Office

    $171.17

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Modesto

    California · 78466

    Office

    $171.17

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Napa

    California · 78466

    Office

    $201.95

    Facility

    Unavailable

    $30.78 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 78466

    Office

    $183.17

    Facility

    Unavailable

    $12.00 higher than Redding for the office setting.

  • Rest Of California

    California · 78466

    Office

    $171.17

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 78466

    Office

    $171.94

    Facility

    Unavailable

    $0.77 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 78466

    Office

    $180.60

    Facility

    Unavailable

    $9.43 higher than Redding for the office setting.

  • Salinas

    California · 78466

    Office

    $179.95

    Facility

    Unavailable

    $8.78 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 78466

    Office

    $184.91

    Facility

    Unavailable

    $13.74 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 78466

    Office

    $214.90

    Facility

    Unavailable

    $43.73 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 78466

    Office

    $214.82

    Facility

    Unavailable

    $43.65 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 78466

    Office

    $219.71

    Facility

    Unavailable

    $48.54 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 78466

    Office

    $219.39

    Facility

    Unavailable

    $48.22 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 78466

    Office

    $176.95

    Facility

    Unavailable

    $5.78 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 78466

    Office

    $187.24

    Facility

    Unavailable

    $16.07 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 78466

    Office

    $180.82

    Facility

    Unavailable

    $9.65 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 78466

    Office

    $189.19

    Facility

    Unavailable

    $18.02 higher than Redding for the office setting.

  • Stockton

    California · 78466

    Office

    $171.17

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 78466

    Office

    $201.83

    Facility

    Unavailable

    $30.66 higher than Redding for the office setting.

  • Visalia

    California · 78466

    Office

    $171.17

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 78466

    Office

    $171.17

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 78466

    Office

    $184.36

    Facility

    Unavailable

    $13.19 higher than Redding for the office setting.

  • Miami

    Florida · 78466

    Office

    $168.07

    Facility

    Unavailable

    $3.10 lower than Redding for the office setting.

  • Chicago

    Illinois · 78466

    Office

    $162.84

    Facility

    Unavailable

    $8.33 lower than Redding for the office setting.

  • Manhattan

    New York · 78466

    Office

    $183.54

    Facility

    Unavailable

    $12.37 higher than Redding for the office setting.

  • Alaska*

    Alaska · 78466

    Office

    $177.86

    Facility

    Unavailable

    $6.69 higher than Redding for the office setting.

  • Alabama

    Alabama · 78466

    Office

    $141.19

    Facility

    Unavailable

    $29.98 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 78466

    Office

    $138.92

    Facility

    Unavailable

    $32.25 lower than Redding for the office setting.

  • Arizona

    Arizona · 78466

    Office

    $154.49

    Facility

    Unavailable

    $16.68 lower than Redding for the office setting.

  • Colorado

    Colorado · 78466

    Office

    $167.34

    Facility

    Unavailable

    $3.83 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 78466

    Office

    $170.27

    Facility

    Unavailable

    $0.90 lower than Redding for the office setting.

  • Delaware

    Delaware · 78466

    Office

    $157.25

    Facility

    Unavailable

    $13.92 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 78466

    Office

    $162.62

    Facility

    Unavailable

    $8.55 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 78466

    Office

    $154.26

    Facility

    Unavailable

    $16.91 lower than Redding for the office setting.

  • Atlanta

    Georgia · 78466

    Office

    $161.67

    Facility

    Unavailable

    $9.50 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 78466

    Office

    $144.94

    Facility

    Unavailable

    $26.23 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 78466

    Office

    $176.40

    Facility

    Unavailable

    $5.23 higher than Redding for the office setting.

  • Iowa

    Iowa · 78466

    Office

    $146.17

    Facility

    Unavailable

    $25.00 lower than Redding for the office setting.

  • Idaho

    Idaho · 78466

    Office

    $147.01

    Facility

    Unavailable

    $24.16 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 78466

    Office

    $150.62

    Facility

    Unavailable

    $20.55 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 78466

    Office

    $148.62

    Facility

    Unavailable

    $22.55 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 78466

    Office

    $164.58

    Facility

    Unavailable

    $6.59 lower than Redding for the office setting.

  • Indiana

    Indiana · 78466

    Office

    $147.98

    Facility

    Unavailable

    $23.19 lower than Redding for the office setting.

  • Kansas

    Kansas · 78466

    Office

    $144.94

    Facility

    Unavailable

    $26.23 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 78466

    Office

    $143.89

    Facility

    Unavailable

    $27.28 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 78466

    Office

    $151.38

    Facility

    Unavailable

    $19.79 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 78466

    Office

    $143.45

    Facility

    Unavailable

    $27.72 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 78466

    Office

    $185.70

    Facility

    Unavailable

    $14.53 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 78466

    Office

    $165.99

    Facility

    Unavailable

    $5.18 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 78466

    Office

    $169.70

    Facility

    Unavailable

    $1.47 lower than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 78466

    Office

    $160.63

    Facility

    Unavailable

    $10.54 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 78466

    Office

    $147.36

    Facility

    Unavailable

    $23.81 lower than Redding for the office setting.

  • Southern Maine

    Maine · 78466

    Office

    $156.92

    Facility

    Unavailable

    $14.25 lower than Redding for the office setting.

  • Detroit

    Michigan · 78466

    Office

    $155.89

    Facility

    Unavailable

    $15.28 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 78466

    Office

    $147.61

    Facility

    Unavailable

    $23.56 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 78466

    Office

    $161.24

    Facility

    Unavailable

    $9.93 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 78466

    Office

    $150.74

    Facility

    Unavailable

    $20.43 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 78466

    Office

    $152.55

    Facility

    Unavailable

    $18.62 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 78466

    Office

    $140.40

    Facility

    Unavailable

    $30.77 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 78466

    Office

    $139.71

    Facility

    Unavailable

    $31.46 lower than Redding for the office setting.

  • Montana**

    Montana · 78466

    Office

    $158.98

    Facility

    Unavailable

    $12.19 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 78466

    Office

    $149.15

    Facility

    Unavailable

    $22.02 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 78466

    Office

    $157.60

    Facility

    Unavailable

    $13.57 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 78466

    Office

    $147.20

    Facility

    Unavailable

    $23.97 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 78466

    Office

    $164.20

    Facility

    Unavailable

    $6.97 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 78466

    Office

    $182.04

    Facility

    Unavailable

    $10.87 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 78466

    Office

    $172.46

    Facility

    Unavailable

    $1.29 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 78466

    Office

    $148.31

    Facility

    Unavailable

    $22.86 lower than Redding for the office setting.

  • Nevada**

    Nevada · 78466

    Office

    $158.73

    Facility

    Unavailable

    $12.44 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 78466

    Office

    $187.80

    Facility

    Unavailable

    $16.63 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 78466

    Office

    $173.24

    Facility

    Unavailable

    $2.07 higher than Redding for the office setting.

  • Queens

    New York · 78466

    Office

    $185.89

    Facility

    Unavailable

    $14.72 higher than Redding for the office setting.

  • Rest Of New York

    New York · 78466

    Office

    $151.58

    Facility

    Unavailable

    $19.59 lower than Redding for the office setting.

  • Ohio

    Ohio · 78466

    Office

    $147.33

    Facility

    Unavailable

    $23.84 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 78466

    Office

    $144.10

    Facility

    Unavailable

    $27.07 lower than Redding for the office setting.

  • Portland

    Oregon · 78466

    Office

    $173.65

    Facility

    Unavailable

    $2.48 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 78466

    Office

    $157.76

    Facility

    Unavailable

    $13.41 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 78466

    Office

    $165.35

    Facility

    Unavailable

    $5.82 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 78466

    Office

    $147.85

    Facility

    Unavailable

    $23.32 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 78466

    Office

    $160.43

    Facility

    Unavailable

    $10.74 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 78466

    Office

    $163.59

    Facility

    Unavailable

    $7.58 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 78466

    Office

    $148.43

    Facility

    Unavailable

    $22.74 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 78466

    Office

    $157.44

    Facility

    Unavailable

    $13.73 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 78466

    Office

    $145.69

    Facility

    Unavailable

    $25.48 lower than Redding for the office setting.

  • Austin

    Texas · 78466

    Office

    $166.55

    Facility

    Unavailable

    $4.62 lower than Redding for the office setting.

  • Beaumont

    Texas · 78466

    Office

    $146.74

    Facility

    Unavailable

    $24.43 lower than Redding for the office setting.

  • Brazoria

    Texas · 78466

    Office

    $157.44

    Facility

    Unavailable

    $13.73 lower than Redding for the office setting.

  • Dallas

    Texas · 78466

    Office

    $158.32

    Facility

    Unavailable

    $12.85 lower than Redding for the office setting.

  • Fort Worth

    Texas · 78466

    Office

    $157.01

    Facility

    Unavailable

    $14.16 lower than Redding for the office setting.

  • Galveston

    Texas · 78466

    Office

    $157.83

    Facility

    Unavailable

    $13.34 lower than Redding for the office setting.

  • Houston

    Texas · 78466

    Office

    $159.11

    Facility

    Unavailable

    $12.06 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 78466

    Office

    $151.91

    Facility

    Unavailable

    $19.26 lower than Redding for the office setting.

  • Utah

    Utah · 78466

    Office

    $150.69

    Facility

    Unavailable

    $20.48 lower than Redding for the office setting.

  • Virginia

    Virginia · 78466

    Office

    $156.02

    Facility

    Unavailable

    $15.15 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 78466

    Office

    $160.43

    Facility

    Unavailable

    $10.74 lower than Redding for the office setting.

  • Vermont

    Vermont · 78466

    Office

    $156.49

    Facility

    Unavailable

    $14.68 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 78466

    Office

    $165.84

    Facility

    Unavailable

    $5.33 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 78466

    Office

    $190.16

    Facility

    Unavailable

    $18.99 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 78466

    Office

    $151.73

    Facility

    Unavailable

    $19.44 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 78466

    Office

    $142.41

    Facility

    Unavailable

    $28.76 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 78466

    Office

    $158.38

    Facility

    Unavailable

    $12.79 lower than Redding for the office setting.

See how rates vary across the country

78466 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$138.92

$195.44

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$177.861
AL$141.191
AR$138.921
AZ$154.491
CA$171.17–$219.7129
CO$167.341
CT$170.271
DC$184.361
DE$157.251
FL$154.26–$168.073
GA$144.94–$161.672
GU$176.401
HI$176.401
IA$146.171
ID$147.011
IL$148.62–$164.584
IN$147.981
KS$144.941
KY$143.891
LA$143.45–$151.382
MA$165.99–$185.702
MD$160.63–$184.363
ME$147.36–$156.922
MI$147.61–$155.892
MN$161.241
MO$140.40–$152.553
MS$139.711
MT$158.981
NC$149.151
ND$157.601
NE$147.201
NH$164.201
NJ$172.46–$182.042
NM$148.311
NV$158.731
NY$151.58–$187.805
OH$147.331
OK$144.101
OR$157.76–$173.652
PA$147.85–$165.352
PR$160.431
RI$163.591
SC$148.431
SD$157.441
TN$145.691
TX$146.74–$166.558
UT$150.691
VA$156.02–$184.362
VI$160.431
VT$156.491
WA$165.84–$190.162
WI$151.731
WV$142.411
WY$158.381

Explore 78466 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 78466 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$188.29

$171.17 × 110% = $188.29

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 78466 in Redding.

PPRRVU2026_Oct_nonQPP.csv

9,389

Code
78466
Physician work
0.67
Practice expense
4.02
Malpractice
0.07

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 78466 in Redding
ComponentRVULocality factorAdjusted
Physician work0.67× 1.0170.6814
Practice expense4.02× 1.0964.4059
Malpractice0.07× 0.5360.0375
Total RVUs5.1248
Conversion factor× 33.4009

Office / nonfacility rate, Redding$171.17

Open 78466 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.671.017
Practice expense4.021.096
Malpractice0.070.536

(0.67 × 1.017 + 4.02 × 1.096 + 0.07 × 0.536) × $33.4009 = $171.17

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

78466 · Office / nonfacility

$171.17

Effective 2026-10-01

The base rate is $4.62 higher than on 2025-10-01, moving from $166.55 to $171.17 (2.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $166.55changed to$171.17

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.69 changed to 0.67
    • Practice expense RVU 4.04 changed to 4.02
    • Malpractice RVU 0.06 changed to 0.07
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $166.55

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$171.17Not available in this settingRVU26D
2026-07-01$171.17Not available in this settingRVU26C
2026-04-01$171.17Not available in this settingRVU26B
2026-01-01$171.17Not available in this settingRVU26A
2025-10-01$166.55Not available in this settingRVU25D
2025-07-01$166.55Not available in this settingRVU25C
2025-04-01$166.55Not available in this settingRVU25B
2025-01-01$166.55Not available in this settingRVU25A

78466 billing questions

How does this differ from 78468?

Both are planar myocardial infarct-avid imaging, but 78468 includes ejection-fraction assessment. Use 78466 when the documented service does not include that additional assessment.

How does this differ from 78469?

Code 78466 describes planar infarct-avid imaging; 78469 is the SPECT form of infarct-avid imaging. Choose based on the imaging method documented.

Can the professional and technical services be billed separately?

Yes. Report modifier 26 for the interpretation and modifier TC for the technical service; without a modifier, the claim represents the global service.

Which portion is subject to the multiple-procedure reduction?

The cardiovascular diagnostic multiple-procedure reduction applies to the technical component. It does not change the professional component under the CMS rule supplied for this code.

Can this code be used for myocardial perfusion imaging?

No. This code is for planar infarct-avid imaging; myocardial perfusion studies, such as 78453, describe a different imaging purpose.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 78466PPRRVU2026_Oct_nonQPP.csv, line 9,389 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet